Aside from Triluma, is there a treatment for melasma that works?
Alternative Treatment for Melasma?
Doctor Answers (2)
How to treat melasma without using hydroquinone
Melasma is usually a recurrent skin condition that can sometimes be difficult to treat. Most importantly, melasma treatment begins with wearing suncreen daily. I recommend at least SPF 50 with UVA and UVB coverage aling with a physical blocker like zinc oxide. Sunscreen does deactivate within about 2 hours so be sure to reapply.
There are some skin lightening alternatives on the market. Some studies have shown antioxidants such as vitamin C to help lighten some pigmentation Another is Elure which is a new product that my patients have been finding good success with lightening their skin. This is a natural occuring enzyme and is therefore not found to be irritating to the skin. You apply it twice daily and most patients see results within a month; some have seen improvement within a weef or 2. You do still need to wear sunscreen and protect your skin to minimize recurrence of melasma
Melasma is an often chronic condition that is not easy to manage. First and foremost, I advise my patients to wear a high-quality SPF 60 sunscreen year round. Next, a combination cream like Triluma can be very effective, and I can compound much stronger fading creams than are available over the counter or that come prepared. Chemical peels carefully performed can sometimes be of benefit, as can laser in some cases. Vitamin C based creams are a useful adjunct as well. Finally, I find the Obaji system can be a very useful treatment and maintenance regimen for many of my patients with melasma.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.